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Crisis and Acute Care Projects

[Project status: Ongoing]

project summary

Three MHPRU projects have been focusing on informing policy on acute and crisis care:

  1. Beyond Places of Safety (BPOS) 听Evaluation. In January 2017, the Department of Health launched a 拢15 million project entitled 鈥楤eyond Places of Safety鈥�, providing infrastructure support for innovative services for people experiencing a mental health crisis. During the pandemic, a delay in evaluating this work was agreed as many projects were not progressing as planned, but MHPRU has now collected data from managers of 18 innovative services set up through the scheme. We investigated their role within local crisis care systems, and what has helped or hindered their implementation 鈥� the results are now in . A further paper in preparation is examining the crisis caf茅 model in more depth.
  2. National Acute Care Systems Study:听 In a linked project, we have aimed to survey crisis care models currently implemented in England and to explore what features of catchment area crisis care systems are associated with rates of hospital admissions. In our first paper from this study, we described crisis care systems in catchment areas nationwide, focusing on the emergency of innovative but as yet largely unevaluated models such as crisis cafes and triage teams.听 In a second paper, now in , we have investigated what characteristics of local crisis care systems and what models are associated with variations in admissions and compulsory admissions. 听
  3. Mapping of alternatives to inpatient care: For our third inpatient care project, MHPRU researchers are working with NHS-E policy makers, lived experience researchers and national experts on a mapping of alternatives to inpatient care. This includes alternatives to acute inpatient care for both adults and children and young people, as well as alternatives or approaches to reducing length of stay in forensic or long-stay wards. First outputs are expected by May 2023.

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publications
  • -听This paper published by MHPRU authors and international collaborators in World Psychiatry gives and accessible overview of current acute care models around the world and the evidence to support them.
  • -听Findings from a national survey of mental health crisis care managers: what are the emerging models of community crisis care?听
  • -听The framework successfully described 92 social interventions across eight life domains.
  • An investigation of the association between characteristics of local crisis care systems and service use in a national survey, 听- A paper on the听associations between catchment area services and admissions
  • National survey analysis paper 听-听
  • BPOS manager interview paper -听

  • Crisis cafes qualitative study (in prep) -听What is the role of mental health crisis cafes, and what are the challenges to consider in implementing this model

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